Literature Review : Penerapan Metode Kompres Hangat Dalam Menurunkan Intensitas Nyeri Ibu Bersalin Kala 1 Fase Aktif

2021 ◽  
Vol 1 ◽  
pp. 1721-1726
Author(s):  
Moh Faesol ◽  
Windha Widyastuti

AbstractThe unproper handied labour pain may ancrease blood pressure as well as oxygen demand, and decrease uterine contraction. Warm compress is a method that can be applied to reduce the intensity of pain during labour. this scientific report was written to describe the application of warm compresses to reduce the intensity of maternal pain during the first active phase of labour based on a literature review. this literature review was constructed by analyzing 3 articles takeen from Google Scholar with "labour pain", "firts active phase" and "warm compresses" the keywords, in the form of fulltext articles, and published during 2011 - 2021. From 78 respondent, 66.6% of them aged >25 years old, 58% were multipara, and 60.4% finished secondary education. The result showed that the average pain scale before the intervention was 5,3. Therefore, it can be concluded that warm compresses can reduce labour pain during the firts active phse. hence, health workers are suggested to give warm compresses to reduce the intensity of labour pain during the firts active phase.Keywords: Labour Pain; Warm Compresses; Stage 1 Active Phase AbstrakNyeri persalinan yang tidak ditangani dengan tepat dapat menyebabkan peningkatan tekanan darah, peningkatan kebutuhan oksigen dan penurunan kotraksi uterus. Metode kompres hangat merupakan salah satu intevensi yang dapat menurunkan intensitas nyeri pada ibu bersalin. Penulisan karya tulis ilmiah ini bertujuan untuk mengambarkan penerapan kompres hangat terhadap intensitas nyeri ibu bersalin kala 1 fase aktif berdasarkan literature review. Desain karya tulis ilmiah ini adalah Literature Review, dengan menganalisis 3 artikel yang diambil dari laman google scholar dengan kata kunci “nyeri persalinan”, “kala 1 fase aktif” dan “kompres hangat”, berupa artikel fulltext artikel terbit pada tahun 2011-2021 . Hasil analisa karakteristik responden berjumlah 78,  66,6%  responden berusia >25 tahun, 58% paritas Multipara, dan 60,4% pendidikan menegah. Rata-rata skala nyeri sebelum intervensi 7,9 dan setelah intervensi 5,3. Kesimpulanya adalah kompres hangat dapat menurunkan nyeri pada ibu bersalin kala 1 fase aktif. Saran bagi tenaga kesehatan adalah memberikan kompres hangat untuk menggurangi intensitas nyeri bersalin kala 1 fase aktif.Kata kunci: Nyeri Persalinan; Kompres hangat; Kala 1 Fase Aktif

Author(s):  
Nita Anggerina Putri Hi Setiawan ◽  
Mateus Sakundarno Adi

The prevalence of HIV/AIDS had been increasing due to the lack of awareness of people to use or access VCT services, especially those with high risk. Many factors affect people and people at high risk of accessing VCT services. The study aims to describe barriers that arise in the implementation of the VCT program. The research method was a literature review from electronic database such as Google Scholar, PubMed, and Science Direct. Keyword search included barrier, Voluntary Counseling and Testing, and HIV VCT. Selected 9 articles published from 2018 to 2020. The results of the study of all articles founded that barriers in the implementation of VCT in the form of lack of knowledge, fear, and shame when taking an HIV test, difficulty in communicating because of hearing impairment so that the information received was not enough, stigma from the community and health workers, barriers to limited operational hours of VCT services, lack of staff as program implementers, limited competence due to lack of training, and limited health infrastructure/facilities. Keywords: barrier; VCT; HIV/AIDS ABSTRAK Prevalensi HIV/AIDS semakin meningkat karena kurangnya kesadaran orang-orang untuk memanfaatkan atau mengakses layanan VCT terutama mereka dengan risiko tinggi. Banyak faktor yang mempengaruhi masyarakat maupun orang dengan risiko tinggi dalam mengakses layanan VCT. Tujuan penulisan artikel ini adalah untuk menggambarkan tentang hambatan-hambatan yang muncul dalam pelaksanaan program VCT. Metode penelitian adalah literature review dari database elektronik seperti Google Scholar, PubMed, dan Science Direct. Kata kunci pencarian antara lain menggunakan kata kunci barrier, Voluntary Counselling and Testing, dan VCT HIV. Terpilih 9 artikel yang dipublikasi tahun 2018 sampai 2020. Hasil penelitian dari semua artikel, diperoleh bahwa hambatan-hambatan dalam pelaksanaan VCT yaitu berupa kurangnya pengetahuan, rasa takut, dan malu jika melakukan tes HIV, kesulitan dalam berkomunikasi karena memiliki gangguan pendengaran sehingga informasi yang diterima pun kurang, stigma dari masyarakat serta petugas kesehatan, hambatan jam operasional layanan VCT yang terbatas, kurangnya jumlah staf sebagai pelaksana program, kompetensi yang terbatas karena kurang mengikuti pelatihan, serta infrastruktur/fasilitas kesehatan yang terbatas. Kata Kunci: hambatan; VCT; HIV/AIDS


2020 ◽  
Vol 9 (2) ◽  
pp. 58
Author(s):  
Yumiati Padaka Reda Mata ◽  
Monica Kartini

AbstractPain is one of the most common problem experienced by post caesarean section (SC) patients. Pain can lead to other impacts, such as decrease the comfort levels, impair patient mobilization, and interfere mother-baby bonding process. There are several nonpharmacological interventions to deal with pain, one of which is by doing massage, where there are several variations in the implementation of post SC maternal massage. The purpose of this literature review is to evaluate the literature on the effect of massage on decreasing intensity in post section caesarean mothers. Literature search is carried out electronically through google scholar pages, Cochrane, BMJ and Pubmed databases. The keywords used are massage, pain, caesarean, post SC, or post cesarean section. There are 11 research articles that discuss massage for decreasing maternal pain. The literature search results show that massage in post section caesarean mothers has an impact on decreasing the pain scale, providing comfort, and reducing stress. Massage is a safe and effective intervention performed in post caesarean section mothers. Keywords: massage; pain; post section caesarean  AbstrakNyeri merupakan salah satu masalah utama yang dialami oleh ibu post section caesarea (SC). Nyeri dapat berdampak pada berbagai hal, diantaranya menurunnya tingkat kenyamanan pasien, mengganggu mobilisasi, dan menghambat dalam proses bonding ibu dan bayi. Terdapat beberapa intervensi nonfarmakologi untuk mengurangi nyeri, salah satunya adalah dengan massage. literature review ini bertujuan untuk mengevaluasi hasil-hasil penelitian tentang pengaruh massage dalam menurunkan intensitas nyeri pada ibu post SC. Penelusuran literatur dilakukan secara elektronik melalui google scholar, Cochrane, BMJ dan Pubmed. Kata kunci yang digunakan adalah massage, nyeri, post SC, dan post section caesarean. Terdapat 11 artikel penelitian mengenai massage untuk menurunkan nyeri maternal. Hasil penelusuran literatur menunjukkan bahwa massage pada ibu post SC bermanfaat dalam menurunkan skala nyeri, memberikan kenyamanan, dan mengurangi stress. Massage merupakan intervensi yang aman dan efektif dilaksanakan untuk ibu post SC. Kata kunci: massage; nyeri; post section caesarea


2021 ◽  
Vol 1 ◽  
pp. 1472-1476
Author(s):  
Fatturichza Yamiendinar ◽  
I Isytiaroh ◽  
Windha Widyastuti

AbstractContraction during labour can be painful. The pain due to labour process can be reduced by performing non-pharmacological treatment of Effleurage. Effelurage is a serries of massage which is done in the abdominal area aiming to reduce pain that arises during the labour process. The purpose of this study was to find out whether Effleurage could reduce pain response of mothers in the first phase labour. The study was a literature review of three articles taken from Google Scholar with the keyword “Effleurage”, “labour pain” and “first phase” in the form of fulltext articles, published in 2019. The respondents of the thre articles 63 mothers who gave birth. The average value of pain response showed by the respondents before and after being treated with Effleurage decreased from 5.883 to 3.576. Therefore, it was concluded that effleurage could be given to mothers to reduce the pain response in the labour process. Moreover, health providers are expected to treat mothers with Effleurage to reduce their pain to the labour process.Keywords: First phase, labour pain, Massage effleurage AbstrakKontraksi selama persalinan dapat menimbulkan rasa nyeri. Rasa nyeri yang dirasakan pada proses persalinan tersebut dapat dikurangi dengan melakukan tindakan non-farmakologis salah satunya berupa pemberianmassage effleurage. Massage effleurage yang dilakukan di area perut untuk membantu mengurangi rasa nyeri yang muncul pada proses persalinan. Tujuan karya tulis ilmiah ini untuk mengetahui apakah massage effleurage dapat menurunkan respon nyeri pada ibu bersalin kala I berdasarkan literatur review. Desain karya tulis ilmiah berupa literatur review dengan jumlah artikel tiga yang diambil dari laman jurnal google scholar dengan kata kunci “massage effleurage”. “nyeri persalinan” dan “kala I” berupa artikel fulltext, terbit tahun 2019. Jumlah responden dari tiga artikel tersebut adalah 63 ibu bersalin. Nilai rata-rata respon nyeri sebelum dilakukan massage effleurage 5,883, dan nilai rata-rata respon nyeri setelah dilakukan massage effleurage 3,576. Simpulannya adalah tindakan massage effleurage dapat membantu menurunkan respon nyeri pada proses persalinan. Saran bagi pelayanan kesehatan agar dapat menerapkan teknik massage effleurage untuk mengurangi nyeri pada proses persalinan.Kata kunci: Massage effleurage,nyeri persalinan, kala I


2021 ◽  
Vol 1 ◽  
pp. 153-158
Author(s):  
Yogie Prasethya Al Hakim ◽  
Mokhamad Arifin

AbstractThe COVID-19 virus is very easy to spread, especially through droplets from infected people to others. This makes health workers vulnerable to infection. To overcome this problem. it is necessary to use personal protective equipment (PPE) which aims to protect health workers from the COVID-19 virus. To describe the compliance level of health workers with the personal protective equipment (PPE) in hospitals during the COVID-19 pandemic. A research literature review of 5 articles accessed from online databases such as Google Scholar and PubMed published from 2020-2021. The research used the Systematic Reviews and Meta-Analysis (PRISMA) checklist. The results of this literature review showed that, from a total of 1496 respondents, 1158 respondents (77.4%) had a good level of compliance with personal protective equipment (PPE) usage. Based on the results, it can be concluded that the health workers have a good level of compliance with the PPE usage during the COVID-19 pandemic. This literature review research is expected to be new knowledge, insight, and reference for health workers regarding the compliance with the use of personal protective equipment (PPE), especially during the COVID-19 pandemic. Keywords: Personal Protective Equipment (PPE), COVIID-19, Adherence, Health Workers'. AbstrakVirus COVID-19 sangat mudah menyebar terutama melalui droplet dari orang yang terinfeksi kepada orang lain. Hal ini mengakibatkan petugas kesehatan rawan untuk terinfeksi. Untuk mengatasi masalah tersebut maka diperlukan penggunaaan alat pelindung diri (APD) yang bertujuan untuk melindungi petugas kesehatan dari virus COVID-19. Untuk mengetahui bagaimana tingkat kepatuhan penggunaan alat pelindung diri (APD) tenaga kesehatan di rumah sakit pada masa pandemi COVID-19. Penelitian literature review dari 5 artikel mengakses database online seperti Google Scholar dan PubMed yang di publikasi dari tahun 2020-2021. Instrumen telaah kritis yang digunakan yaitu instrument PRISMA checklist. Hasil penelitian literature review ini menunjukan diketahui dari total responden sebanyak 1496 orang, sebanyak 1158 responden dengan presentase (77,4%) memiliki kepatuhan yang baik dalam penggunaan alat pelindung diri (APD). Pada penelitian literature review kali ini didapatkan hasil berupa tingkat kepatuhan penggunaan APD yang baik oleh petugas kesehatan di masa pandemi COVID-19. Penelitian literature review ini diharapkan dapat menjadi pengetahuan, wawasan dan referensi baru untuk tenaga kesehatan terkait kepatuhan penggunaan alat pelindung diri (APD) terutama pada masa pandemi COVID-19.Kata kunci: Alat Pelindung Diri (APD), COVID-19, Kepatuhan, Tenaga Kesehatan.


2021 ◽  
Vol 1 ◽  
pp. 766-771
Author(s):  
Khonifah Yuliani ◽  
Windha Widyastuti

AbstractMothers commonly feel pain after cesarean sections. One way to reduce pain is by implementing Benson Relaxation Technique. This scientific work aimed to examine the implementation of Benson Relaxation Technique in post cesarean section mothers to reduce pain. The study was a literature review of three articles taken from Google Scholar with the keywords “Cesarean Section”, “pain” and “Benson Relaxation”, in the form of fulltext articles, published during 2015 -2020. The respondent of the three articles were mostly multiparaous mothers <35 years old. The result of the analysis showed the average value of pain before being given the intervention was 5,39% and after the intervention was 3,01%. In conclusion, Benson Relaxation Technique could reduce pain in post-cesarean section mothers. Therefore health workers are expected to implement Benson Relaxation Technique as an alternative treatment to reduce pain of post-cesarean section mothers. Keywords : Cesarean section; pain; Benson Relaxation Technique AbstrakMasalah yang sering muncul pada ibu post cesarean section adalah nyeri. Salah satu upaya untuk menurunkan nyeri yaitu dengan memberikan relaksasi Benson. Karya tulis ilmiah ini bertujuan untuk menelaah penerapan relaksasi Benson pada ibu post cesarean section dalam menurunkan nyeri berdasarkan literature review. Desain karya tulis ilmiah ini berupa literature review dengan jumlah tiga artikel yang diambil dari laman jurnal google cendekia dengan kata kunci “Cesarean Section ”, “nyeri” dan “relaksasi benson” berupa article fulltext, terbit tahun 2015-2020. Karakteristik responden diketahui sebagian besar ibu multipara yang berusia dibawah 35 tahun. Hasil analisa dari ketiga artikel menunjukkan nilai rata-rata nyeri sebelum diberikan intervensi adalah 5,39% dan setelah diberikan intervensi turun menjadi 3,01%. Kesimpulannya adalah teknik relaksasi Benson dapat menurunkan nyeri pada ibu post cesarean section. Saran bagi tenaga kesehatan hendaknya menerapkan teknik relaksasi benson sebagai alternatif untuk menurunkan nyeri pada ibu post cesarean section. Kata kunci : Cesarean section, nyeri, relaksasi benson


2020 ◽  
Vol 4 (1) ◽  
pp. 1-5
Author(s):  
Evi Rinata ◽  
Rafhani Rosyidah

Latar belakang: Nyeri persalinan merupakan proses fisiologis akibat kontraksi miometrium dengan intesitas yang berbeda pada masing-masing individu. Meskipun fisiologis namun nyeri persalinan akan terasa menyakitkan, tidak menyenangkan dan menakutkan bagi ibu. Tujuan penelitian: Mengetahui efektivitas kombinasi birth massage dan perubahan posisi terhadap penurunan nyeri persalinan kala I fase aktif. Metode: Desain penelitian Quasi Eksperimental Design dengan metode Nonequivalent Control Group Design menggunakan pretest – posttest design. Populasi ibu bersalin kala I fase aktif yang memenuhi kriteria inklusi menggunakan consecutive sampling. Jumlah sampel 48 ibu bersalin yang dibagi dua kelompok yaitu kelompok perlakuan (birth massage dan perubahan posisi) dan kelompok kontrol (birth massage). Pengamatan nyeri persalinan pre dan posttest menggunakan skala nyeri dengan observasi perilaku (FLACC behavioral scale). Hasil: Hasil penelitian menunjukkan rerata skor nyeri persalinan kelompok perlakuan pretest adalah 6,17± 1,129 dan posttest 2,79 ± 1,414 dengan rerata penurunan skor nyeri pretest dan posttest sebesar 3,38 ± 1,173. Sedangkan rerata skor nyeri persalinan kelompok kontrol pretest adalah 6,17± 1,129 dan posttest 2,79 ± 1,414 dengan rerata penurunan skor nyeri pretest dan posttest sebesar 3,38 ± 1,173. Hasil uji Mann – Whitney didapatkan nilai P = 0,564 yang berarti tidak ada perbedaan penurunan nyeri pada kelompok yang diberikan birth massage kombinasi perubahan posisi atau pada kelompok yang hanya diberikan birth massage. Simpulan: Tidak ada perbedaan penurunan nyeri persalinan pada kelompok perlakuan dan kelompok kontrol. Background: Labour pain is the physiological processes as a result of the contraction of myometrium with different intensity on each individual. Although it is physiological, labour pain is painful, unpleasant and frightening for the mother. Objective: This research aims to know the effectiveness of combination between birth massage and change position towards the decrease of labor pain in the forst active phase. Methods: The design of this study was Quasi Experimental with Nonequivalent Control Group method using pretest-posttest Design was applied. The population of maternity mother in the first active phase that meet the criteria of inclusion by using consecutive sampling. The number of sample was 48 maternity mothers divided into two groups, treatment group (birth massage and position change) and control group (birth massage). Observation on labor pain during pre and posttest used behavioral FLACC scale. Results: The results showed a mean score of labor pain treatment group pretest is 6.17 ± 1.129 and posttest 2.79 ± 1.414 with average pain score decrease of pretest and posttest of 3.38 ± 1.173. While the average score labor pain control group pretest is 6.17 ± 1.129 and posttest 2.79 ± 1.414 with average pain score decrease of pretest and posttest of 3.38 ± 1.173. Mann-Whitney test results obtained the value of P = 0.564 which means there is no difference in decreasing pain in the group given birth massage combined with position changes and in the group just given birth massage. Conclusion: There is no difference between labor pain in treatment group and control group who were just given birth massage.


2021 ◽  
Vol 5 (2) ◽  
pp. 224
Author(s):  
Nisrina Nur Zahidah

 ABSTRACTHypertension is still the most highest causes of death in Indonesia . Patient with hypertension not knowing that they have hypertension and in the end they have complications of hypertension, so it is often called the silent killer disease. Things that can be do so hypertension does not get worse is do a low salt diet. This study aims to determine the application of a low salt diet in patients with hypertension. The research method uses a traditional literature review, articles used by Portal Garuda and Google Scholar with a range of 2016-2020. The keywords used in the article search were low salt diet, hypertension. The results of the search for articles obtained on the Portal Garuda are 12 articles on Google Scholar are 4,030 articles, of which are only 15 articles that match the topic. Patients with hypertension mostly adhere to a low salt diet but there are still many who do not adhere to a low salt diet. Knowledge, attitude, family support and self awareness are factors that affects hypertension. The conclusion in this study, the application of a low-salt diet in hypertensive patients can be carried out well, hypertensive patients have knowledge, attitude and good family support for the implementation of a low salt diet and hypertensive patients who have the awareness to control their blood pressure. Suggestions for health workers can provide counseling regarding a low salt diet, for people with hypertension to apply a low salt diet properly so that blood pressure can be controlled.


2020 ◽  
Vol 3 (2) ◽  
pp. 46-52
Author(s):  
Putu Adiz Siwayana ◽  
Ika Setya Purwanti ◽  
Putu Ayu Sri Murcittowati

Every health facility, whether it is primary, secondary, tertiary, is required to maintain medical records in order to achieve administrative order. Incomplete (incomplete) medical records will affect the service process provided by health workers and have an impact on the quality of service of a hospital. This study aims to determine the factors causing the incomplete filling of inpatient medical records. This study uses a literature review method. The strategy in searching literature reviews is using Google Scholar. In the search phase, articles are limited to publications from 2015-2020. The keywords used are the factors causing incomplete medical record filling. The search results obtained 10 articles and then 5 articles were taken. The results of the literature review show that the factors causing the incompleteness of filling in medical records as a whole can be seen from the lack of knowledge, motivation and awareness of medical personnel about medical records. The meeting as a means of communication between caregivers and management has not yet been implemented to discuss evaluation and monitoring as well as sanctions for officers who do not complete medical records. lack of socialization on filling out medical records. Unsystematic arrangement of medical record forms. Limited availability of funds or budget to support medical record service activities. Conclusion Hospitals need to pay attention to the factors causing the incompleteness of filling in medical records so that filling in medical records is complete according to standards. So that the quality of service, especially the quality of patient medical records.AbstrakSetiap fasilitas kesehatan baik tingkat primer, sekunder, tersier wajib menyelenggarakan rekam medis agar tercapainya tertib administrasi. Ketidaklengkapan (Incomplete) rekam medis akan berpengaruh terhadap proses pelayanan yang diberikan oleh petugas kesehatan dan berdampak pada kualitas pelayanan suatu rumah sakit. Penelitian ini bertujuan untuk mengetahui faktor penyebab ketidaklengkapan pengisian rekam medis rawat inap. Penelitian ini menggunakan metode literatur review. Strategi dalam pencarian literatur review menggunakan Google Scholar. Pada tahap pencarian artikel dibatasi terbitan dari tahun 2015-2020. Kata kunci yang digunakan adalah Faktor Penyebab ketidaklengkapan pengisian rekam medis. Hasil penelusuran artikel didapatkan 10 artikel dan selanjutnya diambil 5 artikel. Hasil dari literatur review didapatkan faktor penyebab ketidaklengkapan pengisian rekam medis secara keseluruhan, penyebabnya dapat dilihat dari kurangnya pengetahuan, motivasi dan kesadaran dari petugas rekam medis tentang rekam medis. Belum terlaksananya rapat sebagai wadah komunikasi antara pemberi asuhan dan manajemen yang membahas evaluasi dan monitoring serta sanksi bagi petugas yang tidak mengisi rekam medis dengan lengkap. kurangnya sosialisasi pengisian rekam medis. Susunan formulir rekam medis yang tidak sistematis. Terbatasnya ketersediaan dana atau anggaran untuk mendukung kegiatan pelayanan rekam medis. Kesimpulan Rumah sakit perlu memperhatikan  faktor penyebab ketidaklengkapan pengisian rekam medis sehingga pengisian rekam medis menjadi lengkap sesuai dengan standar. Sehingga  mutu dari pelayanan terutama mutu rekam medis pasien.


2021 ◽  
Vol 9 (2) ◽  
pp. 138-152
Author(s):  
Sri Rahayu ◽  
Hosizah Hosizah

AbstractThe Health Care Referral System is a service system that controls the delegation of authority and responsibility for health problems which is carried out reciprocally vertically or horizontally, in the sense of a unit with less capability to a more capable unit. The purpose of this study was to determine the implementation of the health service referral system in terms of regulations, health personnel resources and infrastructure. This research is a systematic review (Systematic Literature Review). The data synthesis process was carried out by comparing 15 literatures that met the quality assessment as well as inclusion and exclusion criteria with the database sources used, namely, Google Scholar, Pubmed, ScienceDirect. The data is processed and presented in tabulated form. The results showed that several countries such as Indonesia, Iran, Northern Tanzania, Riyadh, Ghana, Zambia and Hoduras from the articles reviewed used a referral system starting from the basic level (Primary), secondary level (Secondary) and tertiary level (Tertiary). Judging from the three aspects of the implementation of the health service referral system reviewed, it shows that there are problems in its implementation, including; the regulatory aspect found only 2 literatures that discussed regulations in the implementation of the referral system, the aspect of health personnel resources was found to be unavailability of health workers in health services causing patient referral and infrastructure aspects found obstacles in inadequate infrastructure resulting in referral.Keywords: implementation, referral system, health care AbstrakSistem Rujukan Pelayanan Kesehatan merupakan sistem pelayanan yang mengendalikan pelimpahan wewenang serta tanggung jawab atas permasalahan kesehatan yang dilakukan secara timbal balik secara vertikal ataupun horizontal, dalam makna dari unit yang berkemampuan kurang ke unit yang lebih, terjangkau dan rasional. Tujuan penelitian ini untuk mengetahui implementasi sistem rujukan layanan kesehatan dilihat dari aspek regulasi, sumber daya tenaga kesehatan dan sarana prasarana. Penelitian ini merupakan tinjauan sistematis (Systematic Literature Review). Proses data sintesis dalam penelitian ini dilakukan dengan cara membandingkan 15 literature yang memenuhi penilaian kualitas serta kriteria inklusi dan ekslusi dengan sumber database yang digunakan yaitu, Google Scholar, Pubmed, ScienceDirect. Data diolah dan disajikan dalam bentuk tabulasi. Hasil penelitian menunjukan beberapa negara seperti Indonesia, Iran, Tanzania Utara, Riyadh, Ghana, Zambia dan Hoduras dari artikel yang direview menggunakan sistem rujukan yang dimulai dari tingkat dasar (Primary), tingkat menengah (Secondary) dan tingkat tersier (Tertiary). Dilihat dari ketiga aspek implementasi sistem rujukan layanan kesehatan yang direview menunjukkan adanya permasalahan dalam pengimplementasiannya diantaranya; aspek regulasi ditemukan hanya 2 literature yang membahas regulasi dalam pengimplementasian sistem rujukan, aspek sumber daya tenaga kesehatan ditemukannya ketidaktersediaan tenaga kesehatan di layanan kesehatan sehingga menyebabkan terjadinya rujukan pasien dan aspek sarana prasarana ditemukannya hambatan pada infrastruktur yang tidak memadai sehingga menyebabkan terjadinya rujukanKata Kunci: implementasi, sistem rujukan, layanan kesehatan


2021 ◽  
Vol 1 ◽  
pp. 1770-1776
Author(s):  
Nanda Alvi Saida ◽  
Lia Dwi Prafitri

AbstractPlantar fasciitis is an example of one of the problems in the field of musculoskeletal physiotherapy. It is estimated that 10% of the general population will develop plantar fasciitis in their lifetime. The highest incidence of plantar fasciitis is between the ages of 40 and 65 years. Ultrasound modality is a therapeutic tool that helps increase blood vessels, aims to repair damaged tissue, the frequency used in therapy is between 1-3 MHz. This literature review study aims to determine the description of ultrasound modality to reduce plantar pain in plantar fasciitis patients. The selection of articles in this study used the PICO mnemonic. This article search used literature search through Google Scholar (2), PubMed (1), Science Direct (1) dan Sage Journal (1). Inclusion and exclusion criteria according to keywords, published from 2010-2021, articles in full text and not a systematic review. The results of a literature review of 5 articles showed that the ultrasound modality was proven to reduce plantar pain with an average pain reduction using the Visual Analogue Scale (VAS) before and before intervention with a pre-test value of 6.06 and a post-test of 3.33 and got the average difference in pain reduction is 2.73. The literature review study shows that women are more dominant in experiencing plantar fasciitis in the number of 117 people (62.6%), the average age of those experiencing plantar fasciitis is 49.8 years. This research can be used as a basis for the development of the physiotherapy profession, on the problem of reducing plantar pain in plantar fasciitis patients with ultrasound modality intervention.Keywords: Pain; plantar fasciitis; ultrasound AbstrakPlantar fasciitis merupakan contoh dari salah satu kasus masalah dibidang fisioterapi musculoskeletal. Diperkirakan 10% dari populasi umum akan menderita plantar fasciitis dalam hidupnya. Insiden plantar fasciitis tertinggi adalah diantara rentang usia 40 dan 65 tahun. Modalitas ultrasound merupakan alat terapi yang membantu meningkatkan pembuluh darah, bertujuan untuk memperbaiki jaringan yang mengalami kerusakan, frekuensi yang digunakan dalam terapi antara 1-3 MHz Penelitian literature review ini bertujuan untuk mengetahui gambaran modalitas ultrasound terhadap penurunan nyeri pada plantaris pada penderita plantar fasciitis. Pemilihan artikel pada penelitian ini menggunakan mnemonic PICO. Penelusuran artikel ini menggunakan penelusuran literature melalui Google Scholar (2), PubMed (1), Science Direct (1) dan Sage Journal (1). Kriteria inklusi dan eksklusi sesuai dengan kata kunci, dipublikasi dari rentan waktu 2010-2021, artikel dalam teks lengkap dan bukan systematic review. Hasil literature review 5 artikel menunjukan bahwa modalitas ultrasound terbukti mengurangi nyeri pada plantaris dengan hasil rata- rata penurunan nyeri dengan alat ukur Visual Analogue Scale (VAS) Sebelum dan sesudah intervensi dengan nilai pre test 6,06 dan post test 3,33 dan mendapatkan rata-rata selisih penurunan nyeri 2,73. Studi literature review menunjukan perempuan lebih mendominasi mengalami plantar fasciitis sejumlah 117 orang (62,6%), rata-rata usia yang mengalami plantar fasciitis usia 49,8 tahun. Study literatur review menunjukan bahwa modalitas ultrasound berpengaruh terhadap penurunan nyeri plantaris pada penderita plantar fasciitis. Penelitian ini dapat digunakan sebagai dasar dari pengembangan profesi fisioterapi, pada masalah penurunan nyeri pada plantaris pada penderitas plantar fasciitis dengan intervensi modalitas ultrasound.Kata kunci : Nyeri; plantar fasciitis; ultrasound


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